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Metrics & Measurement for Improved Care

MCSP uses an integrated health systems lens to advance progress toward better care on the day of birth. Using a systems-oriented approach, the Program works to identify processes and systems that enable District Health Management Teams (DHMTs) and others to provide high-quality comprehensive care along the household-to-hospital continuum. We seek innovative approaches to strengthening referral systems (with linkages to community and civil society organization and, where appropriate, eHealth applications). Improved analysis and tracking of maternal and perinatal deaths assists DHMTs and others to identify priority interventions needed to improve care.

In line with USAID’s strategic vision to improve data for decision-making and accountability, MCSP implements innovative approaches to strengthen metrics and measurement for high-quality of care at the global, national, district and facility level. We prioritize activities to strengthen respectful maternal care, promoting dignified and culturally appropriate services, safe and enabling working environments for providers, and community engagement to define and improve quality. The Maternal Health Team also collaborates with the MMEL (measurement, monitoring, evaluation and learning) Team to pursue improvements in metrics and measurement, including the development, refinement and testing of indicators to track high-quality provision of maternal care.

MCSP works to strengthen health information systems—both facility-based and community-based—and use of data for decision-making and learning. Quality improvement at the facility level focuses on simplified models to measure and track progress in quality of care and to link improvements to health outcomes. To this end, MCSP expands work begun under MCHIP to introduce an “audit/feedback” cycle for key maternal health interventions, including magnesium sulfate for severe pre-eclampsia/eclampsia and antenatal corticosteroids for preterm birth.

Women in Pakistan using a partograph to build their skills as skilled birth attendants
Photo: MCHIP

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